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Vermont rates for HCPCS L2500

Addition to lower extremity, thigh/weight bearing, gluteal/ischial weight bearing, ring

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $213.80 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $245.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $371.54 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $199.53 / $234.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $977.24